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Pyogenic liver abscess causing acute Budd-Chiari syndrome
G Mehrotra1, R P Singh, A Krishna
1Department of Radiology, University College of Medical Sciences, Delhi, India.
Annals of Tropical Paediatrics
|January 1, 1992
Insights
Acute Budd-Chiari syndrome in children is rare. A staphylococcal liver abscess can compress the inferior vena cava, requiring high suspicion for early intervention.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Acute Budd-Chiari syndrome (BCS) is uncommon in pediatric populations.
- Inferior vena cava (IVC) compression by intrahepatic lesions is a rare cause of BCS.
- Staphylococcal liver abscesses are infrequent but serious pediatric infections.
Observation:
- A case of acute Budd-Chiari syndrome in a child is presented.
- The syndrome was caused by compression of the inferior vena cava (IVC).
- The compression resulted from a large staphylococcal abscess in the right lobe of the liver.
Findings:
- The staphylococcal liver abscess acted as a space-occupying lesion.
- The abscess led to significant compression of the inferior vena cava.
- This compression resulted in the clinical presentation of acute Budd-Chiari syndrome.
Implications:
- Early diagnosis of hepatic abscesses causing IVC compression is critical in children.
- A high index of suspicion for this rare presentation is vital for prompt management.
- Timely intervention can significantly improve outcomes and prevent life-threatening complications in pediatric BCS.
Abstract:
Acute Budd-Chiari syndrome caused by compression of the inferior vena cava by a space-occupying lesion in the liver is rare in children. We report a case where the compression was due to a large staphylococcal abscess in the right lobe of the liver. A high index of suspicion in such a case ensures early intervention and saves life.